Active NPI
Jaskirat Mangat
- General Practice Dentistry
- Pine Grove, PA
National Provider Identifier
1245783265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS040883
- Practice address
- 210 South Tulpehocken Street
Pine Grove, PA 17963-8935 - Phone
- (570) 345-8007
- NPI assigned
- Jul 26, 2016
- Last updated
- Oct 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS040883 | PA | Primary |
Addresses
Primary practice location
210 South Tulpehocken Street
Pine Grove, PA 17963-8935
Mailing address
210 S Tulpehocken St
Pine Grove, PA 17963-1014
Phone (570) 345-8007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040883 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mangat Family Dentistry P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Pine Grove, PA
- NPI 1992279079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1245783265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S TULPEHOCKEN ST",
"city": "PINE GROVE",
"state": "PA",
"postal_code": "179631014",
"telephone_number": "570-345-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SOUTH TULPEHOCKEN STREET",
"city": "PINE GROVE",
"state": "PA",
"postal_code": "179638935",
"telephone_number": "570-345-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGAT",
"first_name": "JASKIRAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS040883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.